Amanda Renee Docksteader in Longview - Massage Therapist

Amanda Renee Docksteader - NPI 1164699013

Amanda Renee Docksteader is a Massage Therapist in Longview, Washington. Amanda Renee Docksteader practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Amanda Renee Docksteader is 1164699013. The last update date is 2008-05-09.

Amanda Renee Docksteader's current location address is 1405 17th Ave # 205, Longview, Washington. You can contact this provider via phone number 3602613652 and fax number 3608431472. The mailing address for Amanda Renee Docksteader is 1405 17th Ave # 205, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Amanda Renee Docksteader
Address 1405 17th Ave # 205, Longview, Washington
Phone Number 3602613652
Fax Number 3608431472
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1164699013
Provider Enumeration Date 2008-05-09
Last Updated Date 2008-05-09

Provider Mailing Address Detail

Address 1405 17th Ave # 205
City Longview
State Washington (WA)
Post Code 986322945
Phone Number 3602613652
Fax Number 3608431472

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00023855
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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FAQs about Amanda Renee Docksteader

What is the Amanda Renee Docksteader's unique identification number?

The Amanda Renee Docksteader has been assigned the NPI (National Provider Identifier) Number 1164699013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Amanda Renee Docksteader is physically located?

The Amanda Renee Docksteader is physically situated at the following address: 1405 17Th Ave # 205, Longview, WA, 986322945.

What is Amanda Renee Docksteader's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Amanda Renee Docksteader is Massage Therapist, and the taxonomy code that classifies this field of practice is 225700000X.

When did Amanda Renee Docksteader receive its 1164699013 assignment?

The Amanda Renee Docksteader was assigned its 1164699013 on 2008-05-09, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Amanda Renee Docksteader, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Amanda Renee Docksteader, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-09.

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